Calcaneal Apophysitis

Question 1

What is calcaneal Apophysitis?

Answer 1

• Heel pain caused by separation of the growth plate at the heel due opposite forces via muscle growth/contraction
• Leads to irritation at the heel with inflammation

Question 2

How to diagnose?

Answer 2

• Active lifestyle, multiple sports activities
• Lateral squeeze test
• X-ray

Question 3

DDX

Answer 3

• achilles tendonitis
• retrocalcaneal busitis
• stress fracture
• plantar fasciitis

Question 4

symptoms

Answer 4

• unilateral heel pain
• progressive worsening with activity
• redness swelling and irritation in heels

Question 5

Treatment

Answer 5

• Ice and elevation
• massage therapy
• Taping
• Stretching of the calf and hamstring complex
• footwear and orthotics
• Modification of load